| NPI | 1558618439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HASSETT President / Treasurer 972-364-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363LF0000X Nurse Practitioner Family | |
| 363AM0700X Physician Assistant Medical | |
| Enumeration Date | 2012-08-09 |
| Last Update Date | 2016-02-03 |